Jessica S Sarabale, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C4906 Issued in OR

Practice address

1345 Birch Ave
Cottage Grove, OR 97424

Phone

(541) 767-4091

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica S Sarabale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genuine Connections Therapy LLC

  • Professional Counselor
  • Springfield, OR
  • NPI 1346984952
  NPD Authorized official
• South Lane Mental Health Services, Inc

  • Community/Behavioral Health Agency
  • Cottage Grove, OR
  • NPI 1306905831
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1679884662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974240001",
            "telephone_number": "541-767-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 BIRCH AVE",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "97424",
            "telephone_number": "541-767-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARABALE",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C4906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SARABALE",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Josette Ryckenbusch, LMT
• S Lane County School District 45J3
• Safeway Inc (Safeway Pharmacy #1458)
• Dominic Joseph Saladino, PHARMD
• Sanasana Mental Health LLC
• Patrick Sarver
• Michele Renee Savage
• Eric Schelin
• Rene Schiller
• Alecia Renee Schneider

• Professional Counselor in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.